| NPI | 1457807687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA CAROLINA MOLTA MOORE Owner/General Dentist 919-825-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 10155) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 10065) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |